Clifton Joseph Ward Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

30 E 15TH Street
Suite 100
Chicago Heights, IL 60411-3459

Phone

(708) 709-2000

Fax

(708) 709-2046

NPI assigned

Jun 12, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: cward106301@direct.franciscanalliance.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871797258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 FOREST BOULEVARD",
            "city": "PARK FOREST",
            "state": "IL",
            "postal_code": "604661755",
            "telephone_number": "708-748-2474",
            "fax_number": "708-709-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 15TH STREET",
            "address_2": "SUITE 100",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-709-2000",
            "fax_number": "708-709-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "CLIFTON",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhash M Waikar, MD
• Walgreen Co
• Kennedi Wallace
• Nancy J Walsh, P.T.
• Dianna Walton-Taylor
• Sharronne Ward, LCPC
• Janee Sheri Ware, M.D.
• Ambrasia Washington, MS, LPC, NCC
• Elmer L Washington, M.D.
• Shaureaye Washington, RBT

• Internal Medicine Physician in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.